SINGLE-STAGE RECONSTRUCTION OF SOFT-TISSUE DEFECTS OF FINGERS BY LOCAL MESH ISLAND FLAPS
The treatment of 17 patients with deep limited finger defects, primary damage or exposure of deep anatomical structures has been analyzed. Two methods of formation of island flaps for plastic and closure of defects were applied: homodigital flap with a reversible vascular pedicle in 9 cases (53%) and heterodigital flap with antegrade blood flow in 8 cases (47%). In all the cases, the problem of wound closure was solved with a good functional and aesthetic result. By the scale of “Assessment of the level of everyday living and life quality of patients” six months after the treatment, the index was from 23 to 27, which is reliably the same as in healthy humans. The single-stage reconstruction of soft-tissue finger defects by mesh island flaps made at the early stage favors an increase in the efficiency of surgical treatment, since it provides the restoration of the cover maximally close to the lost cover, revascularization of damaged anatomical structures, and hand function recovery.
Keywords
хирургическая реконструкция,
пластика лоскут пальцевой артерии,
перфорантный лоскут,
дефект мягких тканей кисти,
surgical reconstruction,
plastic,
digital artery flap,
mesh flap,
defect of soft tissue of handAuthors
| Slesarenko S.V. | Dnepropetrovsk Burn and Plastic Surgery Center | slesarenko@yahoo.com |
| Badyu P.A. | Dnepropetrovsk Burn and Plastic Surgery Center | |
Всего: 2
References
Нор Н.Н. Ранние хирургические вмешательства и их эффетивность при лечении боьных с термической травмой кисти: автореф. дис. … канд. мед. наук. Днепропетровск, 2012. 20 с.
Муллин Р.И. Васкуляризированная кожная пластика островковыми и осевыми на питающей ножке лоскутами в лечении больных с сочетанными повреждениями кисти и пальцев: автореф. дис. … канд. мед. наук. Казань, 2005. 77 с.
Галич С.П., Фурманов А.Ю., Резников А.В., Дабижа А.Ю. Использование лоскута на первой дорсальной метакарпальной артерии для закрытия дефектов покровных тканей I пальца кисти. Пластическая, реконструктивная и эстетическая хирургия. 2017; (3-4): 11-16.
Mathes S.J. Plastic surgery. Second Edition. Vol. VII, The hand and upper limb, Part 1. Saunders, 2006. 1005 p.
Eberlin K., Chang J.,Curtin C. Soft-Tissue Coverage of the Hand: A Case-Based Approach. Plastic and Reconstructive Surgery. 2014; 133 (1): 91-101.
McCabe S.J., Breidenbach W.C. The role of emergency free flaps for hand trauma. Hand Clin. 1999; 15: 275-288.
Chen C., Tang P., Zhang X., The Dorsal Homodigital Island Flap Based on the Dorsal Branch of the Digital Artery: A Review of 166 Cases. Plastic and Reconstructive Surgery. 2014; 133 (4): 520е-529е.
Blondeel P.N., Morris S.F., Hallock G.G., Neligan P.C. Perforator Flaps: anatomy, technique and clinical applications. QMP, Inc. 2006; 1098 p.
Кованов В.В., Травин А.А. Хирургическая анатомия конечностей человека. М.: Медицина, 1983: 496 с.
Strauch B., DeMoura W. Arterial system of the fingers. J. Hand Surg. Am. 1990; 15:148-154.
Taylor G.I., Palmer J.H. The vascular territories (angiosomes) of the body: Experimental study and clinical applications. Br J Plast Surg. 1987; 40: 113-141.
Saint-Cyr M., Wong C., Schaverien M., Mojallal A., Rohrich R.J. The Perforasome Theory: Vascular Anatomy and Clinical Implications. Plastic and Reconstructive Surgery. 2009; 124 (5): 1529-1544.
Азолов В.В., Дмитриев Г.И., Александров Н.М., Новиков А.В., Митрофанов Н.В. Реконструктивная хирургия и восстановительное лечение последствий термической травмы кисти. Нижний Новгород: Нижегородский НИИ травматологии и ортопедии, 2004. 225 с.
